Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-23T09:18:18.209Z Has data issue: false hasContentIssue false

A novel approach to the management of acute tracheal tear

Published online by Cambridge University Press:  21 February 2008

B Creagh-Brown
Affiliation:
Department of Cardiothoracic medicine, St George's Hospital, London, UK
A Sheth
Affiliation:
Department of Cardiothoracic medicine, St George's Hospital, London, UK
A Crerar-Gilbert
Affiliation:
Department of Cardiothoracic medicine, St George's Hospital, London, UK
B P Madden*
Affiliation:
Department of Cardiothoracic medicine, St George's Hospital, London, UK
*
Address for correspondence: Professor Brendan Madden, Department of Cardiothoracic medicine, Atkinson Morley Wing, St George's Hospital, Blackshaw Road, London SW17 OQT, UK. E-mail: drbencb@gmail.com

Abstract

Objective:

We describe the emergency use of a covered, expandable, removable tracheal stent in a patient who developed a large posterior tracheal tear complicating endobronchial therapy for large airway obstruction.

Method:

Case report and review of the literature concerning management of acute tracheal tear.

Results and conclusion:

Our patient demonstrates that endotracheal stenting is an option for managing acute large airway tear. Moreover, the use of a removable stent allows not only for rapid closure of the defect but also removal once the defect has healed, thus avoiding long-term complications of stent deployment.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Davis, N, Madden, BP, Sheth, A, Crerar-Gilbert, AJ. Airway management of patients with tracheobronchial stents. Br J Anaesth 2006;96:132–5CrossRefGoogle ScholarPubMed
2Alredus Inc. http://www.alveolus.com/ [20 September 2007]Google Scholar
3Bolliger, CT, Sutedja, TG, Strausz, J, Freitag, L. Therapeutic bronchoscopy with immediate effect: laser, electrocautery, argon plasma coagulation and stents. Eur Respir J 2006;27:1258–71CrossRefGoogle ScholarPubMed
4Bolliger, CT, Mathur, PN, Beamis, JF, Becker, HD, Cavaliere, S, Colt, H et al. ERS/ATS statement on interventional pulmonology. Eur Respir J 2002;19:356–73Google ScholarPubMed
5Lanuit, M, Mathisen, DJ. Management of complications of tracheal surgery. Chest Surg Clin N Am 2003;13:385–97CrossRefGoogle Scholar
6Madden, BP, Park, JES, Sheth, A. Medium-term follow-up after deployment of ultraflex expandable metallic stents to manage endobronchial pathology. Ann Thorac Surg 2004;78:1898–902CrossRefGoogle ScholarPubMed
7Gaissert, HA, Grillo, HC, Wright, CD, Donahue, DM, Wain, JC, Mathisen, DJ. Complication of benign tracheobronchial strictures by self-expanding metal stents. J Thorac Cardiovasc Surg 2003;126:744–7CrossRefGoogle ScholarPubMed
8Lunn, W, Feller-Kopman, D, Wahidi, M, Ashiku, S, Thurer, R, Ernst, A. Endoscopic removal of metallic airway stents. Chest 2005;127:2106–12CrossRefGoogle ScholarPubMed
9Madden, BP, Loke, TK, Sheth, A. Do expandable metallic airway stents have a role in the management of patients with benign tracheobronchial disease? Ann Thorac Surg 2006;82:274–8CrossRefGoogle ScholarPubMed